Whereas it is stated that …………… defendant/witness in the above suit is at present residing in …………. It is
ordered that a summons returnable on the …….. day of …… 19…… /20 ….., be forwarded to the …………….. court of
……. for service on the said……… defendant/witness with a duplicate of this proceeding.
The court fee of …….. chargeable in respect to the summons has been realised in this court in stamps.
Dated………….

Judge